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2020 Fishing Day Registration
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Indicates required field
Child's Name
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First
Last
2nd Child's Name
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First
Last
3rd Child's Name
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First
Last
4th Child's Name
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First
Last
Child's Age
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3
4
5
6
7
8
9
10
11
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13
14
15
2nd Child's Age
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N/A
3
4
5
6
7
8
9
10
11
12
13
14
15
3rd Child's Age
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N/A
3
4
5
6
7
8
9
10
11
12
13
14
15
4th Child's Age
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N/A
3
4
5
6
7
8
9
10
11
12
13
14
15
Child's Gender
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Male
Female
2nd Child's Gender
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Male
Female
3rd Child's Gender
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Male
Female
4th Child's Gender
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Male
Female
City
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State
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Zip Code
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Name of Parent or Adult Picking Up the Pole/s
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First
Last
[object Object]
Relationship to the Child
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Parent
Guardian
Other
Email
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How many first time fishers are there in your group?
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0
1
2
3
4
How did you hear about this event?
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Questions/Comments
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